Neurogenic Bladder

Prostate Disease

Erectile Dysfunction

Kidney Stones

Pelvic Prolapse

Overactive Bladder

Urology

Anesth vasectomy

Vasectomy

Cystoscopy

Prostate (TURP)

Hydrocele Repair

Bladder Stone Removal

Kidney Stone Removal

Lithotripsy (ESWL)

Ureteroscopy with Laser Lithotripsy

Varicocele Repair (Varicocelectomy)

Repair of Vaginal Prolapse

Interstim Sacral Nerve Stimulation

Cystoscopy with BoTox injection

Artificial Urinary Sphincter Placement

Transrectal Ultrasound

Prostate Biopsy

Pubo-Vaginal Sling

Tension-Free Vaginal Tape

Sexually transmitted diseases

Prostate health

Low testosterone

Testicular pain

Prostate and testicular cancer

Sexual dysfunction

Peyronie’s Disease

Azoospermia

Erectile dysfunction

Ejaculatory dysfunction

Prostatitis

Retrograde ejaculation

Men's fertility

Obesity

Thyroid conditions

Varicocele

Cystic fibrosis

Men's Health

Circumcision w/regionl block

Extensive prostate surgery

TESTICULAR SPERM EXTRACTION (TESE)

Testicular needle aspiration (tesa)

MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION (MESA)

TESTICULAR SPERM EXTRACTION (MICROTESE)

Ejaculatory duct obstruction surgery

Male incontinence treatments

Microsurgical sperm retrieval

Microsurgical varicocelectomy

Penile implants

Prostate Cancer Screening

Transurethral resection of the prostate (TURP)

Circumcision

Incontinence surgery

Prostate surgery

Sperm cryopreservation

Testicular prosthesis

Vasovasostomy (vasectomy reversal)

Peyronie's Disease treatment

Transurethral Resection of Bladder Tumor

PETER STAHL, M.D.

Peter Stahl, MD Men's Health New York

The age to start prostate cancer screening is a subject of debate and may vary depending on individual risk factors and guidelines. Generally, it is recommended to discuss screening with a healthcare provider at around age 50 for most men. However, for individuals with a higher risk, such as those with a family history of prostate cancer, screening may start earlier, typically around age 45 or even earlier.

What age should you start prostate cancer screening?

A patient&#39;s medical history, physical exam and labs are valid for 30 days. EKG&#39;s that are normal are valid for 90 days. These parameters may vary if the patient has comorbidities.

How long is medical clearance for prostate surgery valid?

Preventive care plays a crucial role in maintaining good health and catching potential health issues early, leading to better outcomes and improved quality of life.&nbsp;Examples of preventive care for men include:

<ul>
	<li>Annual physical examinations: Regular visits to a healthcare provider for comprehensive evaluations of overall health, blood pressure, weight, and other vital signs.</li>
	<li>Prostate cancer screening: For men over a certain age or with risk factors, regular prostate-specific antigen (PSA) blood tests and digital rectal exams (DRE) to check for signs of prostate cancer.</li>
	<li>Colorectal cancer screening: Recommended screening tests such as colonoscopy, sigmoidoscopy, or stool-based tests to detect early signs of colorectal cancer.</li>
	<li>Cardiovascular screening: Assessing cardiovascular risk factors like cholesterol levels, blood sugar, and blood pressure to prevent heart disease.</li>
	<li>Testicular cancer self-exams: Encouraging self-examination to detect any abnormal lumps or changes in the testicles.</li>
	<li>Vaccinations: Keeping up-to-date with vaccinations, including flu shots, tetanus, hepatitis, and human papillomavirus (HPV) vaccines, where applicable.</li>
	<li>Skin cancer screening: Regular skin checks by a dermatologist to detect any suspicious moles or skin changes.</li>
</ul>

What is an example of preventive care for men?

Nearly all men will experience some erectile dysfunction (ED) for the first few months after prostate cancer surgery. The reason is that the cavernous nerves located along the sides of the prostate may need to be removed, or may be damaged in surgery. However, within one year after treatment, nearly all men with intact nerves will see substantial improvement. Treatment options for ED include medication, injections, a vacuum device, implants, and pelvic floor exercises.

Can I still have an erection after prostate surgery?

The treatment for overactive bladder (OAB) in men typically involves a combination of lifestyle modifications, behavioral therapies, and medical interventions. It&#39;s essential to consult with a healthcare professional to determine the most suitable treatment plan.

Some common approaches used to treat OAB in men include:

<ul>
	<li>Lifestyle modifications: Adjusting fluid intake, timed voiding, and bladder training.</li>
	<li>Behavioral therapies: Pelvic floor exercises and biofeedback.</li>
	<li>Medications: Anticholinergics, beta-3 adrenergic agonists.</li>
	<li>Nerve stimulation: PTNS and SNS.</li>
	<li>Botox injections: To relax bladder muscles.</li>
	<li>Minimally invasive procedures: Urethral bulking agents, RFMR.</li>
	<li>Surgical intervention: For severe cases, like bladder augmentation or urinary diversion.</li>
</ul>

The majority of overactive bladder cases in men are due to an enlarged prostate, although other health conditions may be a factor. If conservative modalities fail to provide relief, surgery might be the answer. A surgeon can remove part of the prostate, or ablate it with a laser.

How is overactive bladder treated in men?

A polyp is a result of genetic mutations in the cells of the colon lining that affect the normal cell life cycle. A polyp is a growth in the large intestine or rectum. They may not cause symptoms, so screening is needed to help prevent a polyp from turning into colorectal cancer. Screening methods include colonoscopy, sigmoidoscopy, a stool test, and CT scans.

What causes polyps in the colon?

Erectile dysfunction (ED) can have various causes, including underlying medical conditions such as cardiovascular disease, diabetes, hormonal imbalances, neurological disorders, psychological factors (stress, anxiety, depression), certain medications, and lifestyle factors (smoking, excessive alcohol consumption, obesity). It is important to consult a healthcare professional for proper evaluation and personalized treatment options.

What causes erectile dysfunction?

Vasectomy is a highly effective form of permanent contraception. The success rate of vasectomy in preventing pregnancy is generally considered to be over 99%. However, keep in mind that it takes some time after the procedure for the remaining sperm to clear from the reproductive system, so an alternate form of contraception should be used until a post-vasectomy semen analysis confirms the absence of sperm.

How effective is a vasectomy?

The American Cancer Society recommends that both men and women undergo colonoscopy every 10 years, beginning at age 50. If you have a family history of colon cancer or other genetic risk factors, screening may start earlier.

When is the recommended age for men to undergo a colonoscopy?

Low testosterone, also known as hypogonadism, can be treated through various methods to raise testosterone levels and alleviate associated symptoms. The specific treatment approach will depend on the individual&#39;s age, overall health, severity of symptoms, and underlying causes of low testosterone. Common treatment options include:

<ul>
	<li>Testosterone replacement therapy (TRT)&nbsp;involves administering testosterone through different methods.&nbsp;</li>
	<li>Clomiphene citrate is a medication that stimulates the body&#39;s natural production of testosterone and is sometimes used to treat secondary hypogonadism.</li>
	<li>Human chorionic gonadotropin (hCG)&nbsp;can stimulate the testes to produce more testosterone and is sometimes used to treat primary hypogonadism.</li>
	<li>Addressing underlying conditions: If low testosterone is caused by an underlying medical condition, such as a pituitary gland disorder or chronic illness, treating the root cause may help restore testosterone levels.</li>
</ul>

How is low testosterone treated in men?

Peter Stahl, MD

Men's Health

Urology

New York

PETER STAHL, M.D.

Conditions treated

Procedures modalities

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